Colonoscopy: body and psyche. Can psychiatry contribute to the quality of the examination?

Current Problems of Psychiatry Pub Date : 2023-11-02 DOI:10.12923/2353-8627/2023-0024

Adam Zaczek, Robert Pudlo

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Abstract

Introduction: The relationship between a state of a body and mind is well known, although difficult to grasp. Its existence is reflected in subsequent editions of the classifications of mental disorders. One important and frequently performed medical procedure that significantly interferes with the patient's somatic state is colonoscopy. The aim of this study was to review the literature on the patient's psychological functioning in the context of colonoscopy. Material and methods: A review of literature in PubMed and Scopus databases was conducted. Keywords used were: colonoscopy, psychiatry, mental disorders, psychogastroenterology, gut-brain axis, anxiety, depression, cognitive functions, pain perception, limiting the search scope to 2013-2023. Discussion: The bidirectional relationship between psychological factors and a range of functional gastrointestinal disorders, contributed to the introduction of the term psychogastroenterology. One of its important areas is the research on the gut-brain axis. The interplay between the gut microbiome and mental functioning is apparent. Colonoscopy disrupts the composition of the intestinal microflora. However, despite its invasiveness, it is still often irreplaceable for the diagnosis and treatment of bowel diseases (including colorectal cancer). Higher adherence is needed, which could be achieved by improving patient comfort. An increased level of anxiety before the procedure and its negative impact on cognitive functioning is observed. Negative affect amplifies the experience of pain. Colonoscopy technique continues to be developed. A comprehensive description of the patient's psychological functioning in a colonoscopy situation is still lacking. Conclusions: A comprehensive description of the patient's affective and cognitive determinants in the context of colonoscopy and the associated pain and discomfort would be advisable. Keywords: psychiatry, gastroenterology, colonoscopy, gut-brain axis

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结肠镜检查:身体和精神。精神病学对考试质量有帮助吗?

身体状态和精神状态之间的关系是众所周知的，尽管很难掌握。它的存在反映在后来的精神障碍分类中。结肠镜检查是一项重要且经常进行的医疗程序，它会显著干扰患者的躯体状态。本研究的目的是回顾在结肠镜检查的背景下患者的心理功能的文献。材料和方法:检索PubMed和Scopus数据库的相关文献。使用的关键词是:结肠镜检查、精神病学、精神障碍、心理胃肠病学、肠脑轴、焦虑、抑郁、认知功能、疼痛感知，将搜索范围限制在2013-2023年。讨论:心理因素与一系列功能性胃肠疾病之间的双向关系，促成了术语“心理胃肠病学”的引入。其中一个重要领域是对肠脑轴的研究。肠道微生物群和心理功能之间的相互作用是显而易见的。结肠镜检查会破坏肠道菌群的组成。然而，尽管它具有侵袭性，但它在肠病(包括结直肠癌)的诊断和治疗中仍然是不可替代的。需要更高的依从性，这可以通过改善患者舒适度来实现。观察到手术前焦虑水平的增加及其对认知功能的负面影响。消极情绪会放大痛苦的体验。结肠镜检查技术仍在不断发展。在结肠镜检查的情况下，病人的心理功能的全面描述仍然缺乏。结论:在结肠镜检查和相关疼痛和不适的背景下，对患者的情感和认知决定因素进行全面的描述是可取的。关键词:精神病学，胃肠病学，结肠镜检查，肠脑轴

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems of Psychiatry

自引率

0.00%

发文量

审稿时长

15 weeks

期刊介绍： The quarterly Current Problems of Psychiatry is a continuation of the volume "Research on Schizophrenia" and is addressed to a wide group of psychiatrists and clinical psychologists. The quarterly is a reviewed scientific journal of international scope, publishing original papers, review papers, case studies, conference reports, letters to the editor and book reviews. The aim of the "Current Problems of Psychiatry" is providing a wide audience with scientific works, representing a significant contribution to the development of psychiatry and clinical psychology. The works published in the journal are printed in Polish and English. Terms and Conditions for publishing manuscripts in the quarterly are available on the website www.cppsych.umlub.pl in the tab "Requirements".